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MODERN RHEUMATOLOGY Vol.15 No.3

Vol.15 No.3 に戻る


CASE REPORT

A case of Vogt-Koyanagi-Harada disease that developed relapsing polychondritis

Takeo Sakuta1, Yoshitaka Morita1 , Joe Sakai2, Atsunori Kuwabara1, Norio Komai1, Tatsuo Fukushima1, Tamaki Sasaki1, Akio Tabuchi2 and Naoki Kashihara1

(1) Division of Nephrology and Rheumatology, Department of Internal Medicine, Kawasaki Medical School, 577 Matsushima, Kurashiki 701-0192, Japan
(2) Department of Ophthalmology, Kawasaki Medical School, Kurashiki, Japan

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Abstract We report the case of a 56-year-old Japanese man with Vogt-Koyanagi-Harada disease in whom pain and diffuse swelling of the left auricle and bilateral episcleritis developed 3 years after diagnosis. Biopsy of the left ear showed acute chondritis, leading to another diagnosis of relapsing polychondritis. Additionally, he was found to carry human leukocyte antigen DR4, which has been reported to be associated with these inflammatory conditions. To our knowledge, our patient is the first reported case of the occurrence of relapsing polychondritis and Vogt-Koyanagi-Harada disease.

Key words Autoimmune disease - Relapsing polychondritis - Vogt-Koyanagi-Harada disease

 
 
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